NPIMap

Organization Active NPI

Eastern Iowa Anesthesia PC

  • Anesthesiology Physician
  • Cedar Rapids, IA
National Provider Identifier
1275928194
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
32843 Issued in IA
Legal business name
EASTERN IOWA ANESTHESIA PC
Practice address
3705 River Ridge Dr NE
Cedar Rapids, IA 52402-7596
Phone
(319) 329-1159
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rimas Nemickas, MDNPI 1043290125
Title
President
Phone
(319) 329-1159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 32843 IA Primary

Addresses

Primary practice location

3705 River Ridge Dr NE
Cedar Rapids, IA 52402-7596

Mailing address

4000 1St Ave NE
Cedar Rapids, IA 52402-3143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150520002216 IA Part B Supplier - Clinic/Group Practice 5597085209 Receives reassigned benefits from 1 practitioner
Practice locations: Bettendorf, IA
O20180823002401 IL Part B Supplier - Clinic/Group Practice 5597085209 Receives reassigned benefits from 1 practitioner
Practice locations: Moline, IL; Rock Island, IL; Silvis, IL

National Provider Directory

National Provider Directory

Locations

3705 River Ridge Dr NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 329-1159

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1275928194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 1ST AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 RIVER RIDGE DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027596",
            "telephone_number": "319-329-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN IOWA ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "NEMICKAS",
        "authorized_official_first_name": "RIMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-329-1159",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "32843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.